Level 2 Breast/Lymphatic Surgery and Related Procedures in Missouri
What 55 hospitals in Missouri charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$32,364
Hospital list price billed
Average allowed
$5,612
Medicare's payment + patient's share
Medicare paid
$4,456
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $32,364 for level 2 breast/lymphatic surgery and related procedures, about 5.8 times the average medicare-allowed amount of $5,612. That payment is 10% below the U.S. average of $6,262.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $5,612Billed $32,364
About 17¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 2 breast/lymphatic surgery and related procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 89 | $35,747 | $5,597 | $4,416 |
| Lester E Cox Medical CentersSpringfield | 76 | $37,935 | $5,426 | $4,309 |
| Mercy Hospital SpringfieldSpringfield | 67 | $24,177 | $5,483 | $4,369 |
| Boone Hospital CenterColumbia | 67 | $25,305 | $5,483 | $4,355 |
| St John's Mercy Medical CenterSt Louis | 59 | $26,839 | $5,725 | $4,544 |
| University Hospitals & ClinicsColumbia | 58 | $35,194 | $5,494 | $4,364 |
| Barnes-Jewish West County HospitalSt Louis | 50 | $29,323 | $5,803 | $4,624 |
| St Francis Medical CenterCape Girardeau | 45 | $37,126 | $5,966 | $4,753 |
| Mosaic Life Care at St JosephSt Joseph | 42 | $27,826 | $6,134 | $4,887 |
| Freeman Health System - Freeman WestJoplin | 41 | $29,545 | $5,270 | $4,156 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 36 | $48,656 | $5,695 | $4,537 |
| St Lukes HospitalChesterfield | 31 | $22,116 | $5,803 | $4,624 |
| St Lukes Hospital of Kansas CityKansas City | 30 | $51,027 | $5,695 | $4,537 |
| Missouri Baptist Medical CenterTown and Country | 28 | $26,424 | $5,700 | $4,542 |
| Mercy Hospital SouthSt Louis | 24 | $23,792 | $5,803 | $4,624 |
| Southeast Missouri HospitalCape Girardeau | 23 | $41,248 | $5,966 | $4,753 |
| Mercy Hospital JoplinJoplin | 20 | $28,715 | $5,286 | $4,172 |
| Saint Luke's Northland HospSmithville | 19 | $54,353 | $5,695 | $4,537 |
| St Johns Mercy HospitalWashington | 17 | $23,461 | $5,553 | $4,373 |
| Barnes-Jewish St Peters HospitalSt Peters | 16 | $29,552 | $5,514 | $4,335 |
| St Marys Health CenterJefferson City | 15 | $33,192 | $5,518 | $4,397 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 15 | $30,077 | $5,397 | $4,239 |
| Nkc HealthNorth Kansas City | 14 | $32,742 | $5,695 | $4,537 |
| SSM St Joseph Hospital WestLake St Louis | 14 | $28,263 | $5,473 | $4,294 |
| SSM St Joseph Health CenterSt Charles | 13 | $23,121 | $4,122 | $3,284 |
| St Louis University HospitalSt Louis | 12 | $27,958 | $5,700 | $4,542 |
| SSM St Mary's Health CenterSt Louis | 11 | $33,912 | $5,700 | $4,542 |
| Cox Medical Center BransonBranson | 11 | $43,565 | $5,873 | $4,679 |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| Phelps County Regional Medical CenterRolla | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Research Medical CenterKansas City | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Missouri Delta Medical CenterSikeston | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| Golden Valley Memorial HospitalClinton | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Citizens Memorial HospitalBolivar | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| SSM St Joseph Health CenterSt Charles, MO | $4,122 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $5,270 |
| Mercy Hospital JoplinJoplin, MO | $5,286 |
| SSM St Joseph Hosp of KirkwoodSt Louis, MO | $5,397 |
| Lester E Cox Medical CentersSpringfield, MO | $5,426 |
Highest
| Mosaic Life Care at St JosephSt Joseph, MO | $6,134 |
|---|---|
| Southeast Missouri HospitalCape Girardeau, MO | $5,966 |
| St Francis Medical CenterCape Girardeau, MO | $5,966 |
| Cox Medical Center BransonBranson, MO | $5,873 |
| Mercy Hospital SouthSt Louis, MO | $5,803 |
Level 2 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in Missouri?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 55 hospitals in Missouri was billed at $32,364 on average, while the average medicare-allowed amount was $5,612, of which Medicare paid $4,456. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Missouri, average charges were 5.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.